Southern Area Behavioral Healthcare Llc

LBN: Southern Area Behavioral Healthcare Llc
Southern Area Behavioral Healthcare Llc is an health care organization with primary practice located at 4215 Gannon Ln , Dallas TX 75237-2914. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Southern Area Behavioral Healthcare Llc can be contacted via phone (972) 283-9090, or through Medlock, Kenneth R via phone (972) 283-9090.

Contact Information

Primary practice address
4215 Gannon Ln Dallas TX 75237-2914
Phone: (972) 283-9090
Fax: (972) 499-0367
Website:
Map and Directions
Authorized official contact:
Name: Medlock, Kenneth R
Phone: (972) 283-9090

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1396973772
LBN Legal business name Southern Area Behavioral Healthcare Llc
DBA Doing business as
Authorized official Medlock, Kenneth R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2009
Last updated Jan 3rd, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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